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A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Treatment, Children |
3245S0500X |
| NPI Number | 1407158835 |
| Entity | Organization |
| Organization subpart 1 | Not specified |
| Enumeration date | 11/17/2010 |
| Last updated | 02/16/2011 - About 15 years ago |
| Identifiers | n/a |
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JUSTIN D JENSEN
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JUSTIN D JENSEN